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January 28, 2013 12:00pm-5:00pm EST on CSPAN

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Broadcast Summary

00:00
civil today liberties fighting line republicans unconstitutional morning powers fell bush movement party laughed literally defended storm republican perfect
00:30
executive underscore conservative conversation counterterrorism just wall live read part worry taken place piece street things branch attend center called program journal country national recently
01:00
looking activity somebody suspicious dig reasonable records surveillance american point terrorist evidence suspecting reason wife things
01:30
find right moving troubling particularly love done pass guns cliff stuff almost things branch fiscal stealth program records country medical worried traveling protection legislative
02:00
alone left suspect anything fine important need something guest leave right wrong
02:30
right security president constitution establishment due well left given fears state alone afraid speech powers process hearing founded another freedom national spending congress windfall testified
03:00
apparatus thousands perpetual fascinating anniversary end sort jobs cases whole people states united chairs motion dwight machine support hitting nothing dollars billions recycling
03:30
complex eisenhower speech continues industrial push dwight attributes seen expand american growth talked farewell warned people many
04:00
obama everything eisenhower logistical administration lot done host keep left court space state gives power worst argue people secret twitter evidence possible security questions president situation challenged
04:30
duty system madisonian tripartheid congressional job keep push court guest power alone james genius enough govern austin powers madison notably created congress branches trounced developed executive wonderful trouncing
05:00
four united balance history congresses total abandonment check worst states
05:30
court congress democratic intervening republicans core check taken worse syria obama took libyan result silent system define values went liberal letting offline matters members largely fact whether position war authority therefore president challenge civil intervene something circumvent bush
06:00
standing violations constitution subject circumventing hearing review constitutional members called judicial clear courts republican democrat requirement many latent limited
06:30
prisoners executive literally greenhead requirements 80 70 old seem years sense guest court makes viewed absurd narrow founder framers enforced standing director
07:00
cost state inmates necessarily incarceration put low huge ways next high risk host york care four forms cases place reduce states miller burden dealing develop anthony release improving alternative
07:30
obama lawsuit pending claimed guest constitutional cspan telecommunications scholar done found revealing power something industry prior eliminated barack law office caller
08:00
spying americans lawsuit industry administration part telecommunications lot believe bush nsa possibility whole criminality revealed communication 2005 form prior mails
08:30
subpoenaed particular presidency interoffice administration bush stop case mails staff guest never memory chiefs comment believe wondered happened released revealed supposed quitewhen
09:00
talked president protection libertarians aggressively ran got soon many side snuff obama office dozens worked values privacy citizen notably senator lawsuits citizens saboteur
09:30
lawsuits administration conduct losses dismissed got respected privacy obama organizations won possible laws criminal massacre bush violation stomped expose
10:00
court obama administration acknowledge inauguration gay four seen point years rights ruling blocked violate present getting privacy example standing actually citizens president throughout
10:30
public interest ask litigator early extremely tell disconnect support administration oma part protect hostile fighting court term view
11:00
administration louisville successful background independent let ask bush host line sense noise change caller getting confused benghazi hearings kentucky something situation secretary
11:30
democrats criticize incidents subsequent investigation 50 air saw let lap state valid answer clinton conduct hillary playing victory politics question congress questions president
12:00
party people congress reflection unfortunately put role used dance guest aside happen kaiuki become checked anymore program members senators extended balanced greatest president fulfilled challenged
12:30
gave kabuki violations legislative republicans pre away often dance truly happen ignore absurd madison regions becomes believe serious flagrant existing democrats ambitions expressing exaggerate
13:00
chumps nation twitter parties stop people convince formulaic let active become part acting largely guest every vote
13:30
need people american currently leadership red run four blue game fall years state party power break every third office active change states oppose parties recycled election monopoly
14:00
appreciate working nothing morning question mr long sure host last cspan worth turle power states bright united change caller control parties letting
14:30
people ralph branches 1960 wonderful truth government many name appreciate matter three guy looking nader telling view clear
15:00
believe disclosure people wonderful cruel guy information nader transparency wish great blowing yes whistle things outright guest ralph run
15:30
change passive question remember citizens ve toi got need worn angry power using people system active become ability believe country powerful politics congress
16:00
care folks health university complaining law live hill host event going costs reform george turley capitol looking instead website alliance jonathan professor washington discussion
16:30
affordable cap they care impact coverage act span air live
17:30
order something behalf stabilize health directors become rockefeller care welcome program try examine senator board ken
18:00
dollars trillion drinking programs accounting 30 gdp huge span play sure game part care many point based times while almost states united health policy economy spending watching students
18:30
spending increment aggregate paraphrase unsustainable row ago 2011 ross mate grew word many perot month years third debate earlier running decades figures smallest released revealed repeated
19:00
care conditions development hibernating sophisticated slow much kind cost slain least comes people health dragon chronic without economic recovery question increase postpone sluggish response insurance continued discretion
19:30
program expensive discussed treatments encouraging 65 10 lot 000 club baby care 2011 fact tasks topic issue today every health fairly boomers numbers partner pleased despite joining analyzed
20:00
david pleased moderator fund blumenthal dr especially policy commonwealth mention today program co
20:30
briefing others expertise head appreciate policy analytical many commonwealth pleased done top analyst welcome alliance online care
21:00
little ignagni try alliance karen grateful left bob guterman guests discussion set galvin course context stu bit
21:30
health spending fundamental driven yogi performance care system stabilizing commonwealth fund commission philosophy berra footnoted philosopher high greek great
22:00
choices difficult population philosopher confronting cut yogi hand road reach berra noted reduce public ensure private respect america benefits programs continue payments political
22:30
things everything eligibility beneficiaries fundamentally int less hard away word name view route whole series harder makers policy public elected covered restrict quantify officials discussed
23:00
care route health engineering combination cut cuts pain many money avoid holds value spend system coming future process promise forward believe mitigate regardless commission reengineer
23:30
huge better care markets possible took opportunity system medicaid sector businesses costs individuals public medicare fall perspective believe problem health
24:00
office federal building congress government believe today private influence public discussion spending localities states sector
24:30
federal covering government comparable stakeholders 32 cost need face care 2023 ystem total clear health engage private looking choices amounts consumers employers
25:00
care health programs consumers population 65 cost needs costs system better stable public effort always private contain accounts reminding worthwhile assistance information
25:30
system health performance opportunity commonwealth stu high area care move fund vice better cannot making control hearing destiny forward without director guterman executive panelists president commission empowering effectively
26:00
handle worthwhile blackstone bulk karen information start housekeeping bob galvin presentation ignagni find stuart stewart group hope
26:30
materials useful available additional hope bunch reprinting background find packets span include trees slides watching saved sheet lists
27:00
web site access power available slide discussion today right transcript days followed cost long computer follow cast tomorrow few point
27:30
find david improve leap appreciate approve evaluation filling form introducing much panelists card three blue briefings terrific mentioned green kits today
28:00
high thank system commission performance several share help chaired duties common produced health continues david addition commonwealth years report past
28:30
health problems underlying governments confronting put try state board local rigid david costs system across address federal problem spending pressure described principle
29:00
needs system symptoms problem addressed reside commission address pushing solve done spending thing part imminent apparent problems parrot away causes
29:30
health target commission nationwide government gdp set need much felt care money total known world states growth spends united rather helping federal country figures spending
30:00
state health action spending effective massachusetts force policies mean similar view motivating help set legislature taken implement felt controlling target drive
30:30
policies three pronged accelerated implementing felt target recommending feet pillars meant set approach met propose effective chop fit
31:00
provide choices consumers confidence increasing high skin game means value second better volume pillar support reforms payment decrease increase patients intensity providing
31:30
better choices embedded incentives bette health information markets essentially third system effective reward producing approach regardless provide pillar making results
32:00
years trillion sets policies three portrayed lower potential impact nationwide got result costs dollars save
32:30
care better efficient incentives information two key kind sense slide worth makes thirds system health provide rewards produce reforms payment dollars savings trillion provider delivery benefits patients potential increases effective
33:00
payments policies estimated consumers accelerating 10 190 among reform better couple period talking pillars bundled produce payment billion choices savings provider embedded
33:30
patient thinking patients services providing care high cost away force money slide issue front rather health bundle primary talking complex broadly getting treated support episodes provided providers carotenes illustrated strengthening
34:00
benefit medicare multiple packages david coordinated restructuring chronic care talking need presented dire anas essential referring folks conditions grit really
34:30
medicare information better enhancing traditional split beneficiaries provide private policy clinical plans
35:00
total engage necessary incentives experiences need small really system better option patient savings outcomes accounts spending positive interest medicare estimated consumers available essential proportion relatively
35:30
process policies review proposal getting published folks simplifying talk markets administrative paper reduced ops talking details making glad better
36:00
malpractice best reduce practices administrative find care many reform system safety health rights claims doctors talking rewards focuses patient adoption increase position premiums adopting hopefully burdensome practitioners
36:30
better potential government incentives integrated 10 tend save fall grow major money costs place period system health slowly across federal sectors dollars savings trillion informed estimate different
37:00
better state benefit employers governments care program reward large savings local area providing bribe providers medicaid private provide
37:30
health care government beneficiary expenditures pay wage paid grow major bring forgo taxes costs system slowly support coverage premiums employers increases employees households
38:00
health dollars trillion dwindling beneficiaries pie end fast much 2013 care blood costs posit whole people growth higher streets talking believe growing fighting
38:30
talking flowing plenty magnitude 2023 shrinking health resources system much nothing care trillion dollars referred pie done sense
39:00
next health dollars spending trillion years growth 10 policy estimated current rojected twee 75 reducing 40 90 cutting
39:30
set resources effectively implemented circumstances lot hard idea cost need best fund part care lower really system health passed actions enacted getting policies potential
40:00
action need among talking accelerating lot real based build place sector public groups taking private pushing promote momentum standard building programs examples providers purchaser accelerate
40:30
need private vehicle acceleration collaboration put 2014 push serve place states payers system health across groups public toward parties promote provider involved consumer insurance alignment employers exchanges beginning promoting innovation improvements
41:00
thank together igagni commission forward participate alliance happy commonwealth much longstanding important karen fans colleagues questions sectors discussion fund putting
41:30
nicely table community something put stuart david appreciate leadership may capitol light stakeholder policy talking helpful hill thinking either read
42:00
talk level agenda turning specifics care often state might costs sector things behind health policy private federal thinking strategy different addressing washington strategies systematically
42:30
silo public discussion containment strategically cost need kick lens five talk leads total light david began things policy center whether minutes probably approach focusing programs medicare medicaid community
43:00
perspective continue commercial significant individuals bad cost stay bring total broad offer wheel sector second public higher control wanting converge spending coverage reinvent broughton businesses discussion purchasing government
43:30
sector initiative synchronous discussions developments lee move done need much total three costs public needle faster broaden private capture exactly actually important discussion
44:00
policy agenda move collection initiatives cost need next talk state clear sector things couple needle private federal achieve aligned provide question probably reduction direction incentives
44:30
private example performance individuals consolidation bob high area talk sector dealing another identify networks standing cheering patients barriers purchasers purchasing physicians commercial
45:00
thought advantage things need hospitals results commercial report kinds significant achieve affordability tiering issue strategy finally yet medicare small arena broadly
45:30
purchase businesses provisions individuals demonstrated one put aca cost need adds hill pool seven state issue level small people things policy moving extent agenda capitol talking example everyone examples pressure
46:00
accept depends payments retrospective comprehensive done size risk fits talk terms homes global system moving talking respect payment medical bundling community hospitals readiness physicians prospective overhauling negotiations
46:30
goals achieve quality approach incentives line payment global cost system sure emphasize part prospective reduction need fact
47:00
reductions incentives strategies stimulating commonwealth job cost need fund side board yield number rather create strike across boring talking another deciding aligning shifting excellent otherwise
47:30
boat measures consensus discussion asynchronous row 500 high need grow talk value sector number things public shrink smaller private approach important sometimes
48:00
talk couple barriers information prohibiting move sign used next point share plans cases whole began market really things system health forced needle sharing examples delivery consumers providers contracts discussion
48:30
challenge patients provide physicians dashboards networks ability performance moving legislatively hospital inhibit inform high kinds discarded barriers broken operating standing payment
49:00
people wellness encourage individual participation 10 able many side talked states market looked stuart working problem changes programs something rewarding employers purchasing incentives effectively demonstration
49:30
network charges individual government individuals costs payments point seeking employer care broadly encourage focus enough participate purchaser means talked program
50:00
times medicare talked performance malpractice 10 eye high need five seven terms things system steady stuart results popping network matters protect charges charging practice physician positions finishing particular performing
50:30
practice coordinated commonwealth implementing opportunities top help fund much real care scope policy taking notion dollars finally license getting trillion breaking possible barriers community generally important physicians standpoint
51:00
dual state homes nursing eligibles deal best less real people become respect develop bringing together community potential dependent leadership variations strategies stakeholder
51:30
states building construction significant consolidation deal hard days often start local level talked across models couple demand places samples satisfy payment increase overhead creating practice hospitals variations
52:00
techies reductions achieving protection identified cbo put cost note real game given least final terms curve thing moving extent forward achieve sharing progress
52:30
thank places together morning identifying costs app stakeholders public identical hopefully achieve sticklers ipad free
53:00
speak comments employers commission aspirational puts part user true last years least worth today north great costs spend sector asking report always talking several reading thought thinking
53:30
working million employers government difference 150 home cover bring sector public couple facing private likeopm company talking balance minutes benefits together americans companies challenges
54:00
employees employers necessity profitable shareholders cost stay hire talk force trying owners always drives general company keeping whether healthy profits balance talented
54:30
talk slide changed structure attention wanted affordable today show players employer act grabbed coverage care
55:00
whether covering inflation service paying important cost denominator common small giving voucher dollar finding percent option employees talk either
55:30
cost employers interested primary long employees important explain stay health benefits kinds put vouchers inflate date equation dollar
56:00
employers employees management experiment maintaining old 90s put cost half happy terms level value costs decade making control several highest together medicare
56:30
quality care years private interesting 20 15 ago cost ways ended aside costs sector system define coming patient focused getting clinical equation different integrated experience
57:00
apply sector thoughtful believe regulated private public particularly focused side forces equation makes point system delivery realized medicare value things market
57:30
haven before employees vbis incentives market information forces accountability engaged thing believe getting informed need called
58:00
based copays diabetics medication example points deferentially service leaving value employers pay interested employees participation waving
58:30
benefit employee system delivery visa vis designed prices principles show move forces talked kind market design employer savvy big apply
59:00
put sore calling different variation high show save knew group lease price simple people throat system nobody existed throats showing derived doctors offices services shocking gigantic providers something
59:30
find plan price might deductible put show high need call kind team issue sector number happen called therein doctors offices engineer together exchanges cooperate electorate difference
01:00:00
information private providers difficult sector simply less innovation prices administrative issue exchange lot medicare data pricing gag accessing clause people
01:00:30
data show without struggling integrating add let plan last sets bring means issue rules price follow access extent hasten quality federal sitting exchange sponsors anything equation agreement regulating
01:01:00
payment follow unintended great side supportive moving consequence logic idea kind coordinated everyone need seem pavement bundled beginning toward reform
01:01:30
becomes consolidation appropriate coordination organizations big less much care among silos every thing people growth happen things brings become happens showing deliver problem providers industries consolidate
01:02:00
power cost pricing innovation potentially buy job rate board share shift sector talked market really system extent starts private shifting medicare squeezed organized tremendous
01:02:30
health care principles admissions organizations 40 send goes part side worry treat needs comes online already company coaches applied decrease audience diabetics innovator different companies
01:03:00
happen hard happening tremendous innovation set fork care road heard lower chart great large things prices another country examples together providers potential
01:03:30
employers emergency catalyzed rationalize organization see try cost page side among final price shift slide reform better called founded ability payment outcomes question certainly
01:04:00
evidence pavement patients addresses affordability idea need move side paper issue global issues reform across trying private measure markets turning payment country growing outcome positive
01:04:30
need measure antitrust increases authorized high sure kind party today plans price sector status funded neutral funding looking markets qualify actually properly medicare employers
01:05:00
thank better solution affordable improvement bob goes care real karen final worse david whole sector really system health comment quality stewart everyone terrific
01:05:30
question please forward bring many quiz possibly green identify room card microphones someone ask side program either experts part fill
01:06:00
ahead brief stating question possibly beat thank
01:06:30
prices systems integrated comparable differences care past three parts years lower system anyone looked curious quality deliver relative compared examples performed stability situations
01:07:00
evidence certainly slower looking cost systems worth achieving need growth study answer bottom efforts done line
01:07:30
couple standards systematic conclusions utilization less seen tell last years great study slight stable higher normal modest billion dollars spending question database medicare increases
01:08:00
drugs hospital increase particularly consolidation ones seems tends price truly crisis asking driven extent quality happens driving systems markets specialty increases secondary integrated outpatient especially
01:08:30
data published comparable outperform publication seen real shows thing county enough points couple volume moving others verses process perform question probably continue developed important
01:09:00
physicians care side seeing significant data areas terms price across needle moving taking results quality primary payment example different virtually important physician practices individual connecting strategies coordinated
01:09:30
trend opposed country significant retrospective one less cost size real fits terms using thing across respect broadly approach inpatient different harnessed reduction something approaches strategies encouraging perspective
01:10:00
area happening ultimately productive publication let cost data sense party begin third payers review results quality working correct achieve mistake together providers important
01:10:30
integrated successful commonwealth misunderstood circumstances lot cost find care fund case around plenty quality systems website country studies evidence examples question delivery response different improving providing addressing
01:11:00
system health underlying incentives frequently lot able much kind many right kinds thing people things current systems running address realize success counter context blocking punishes actually forefront movements operating
01:11:30
missing patients sort center followed illness exciting elder advanced question certainly report kinds ahead proposed obvious director care things wonder
01:12:00
care measures expenses different pediatrics rest mark life part half last room years seems piece almost market really living system health quality holding biggest shouldn expense disease lifetime bad distinct assuming probably
01:12:30
need medical innovation marketplace possibility ill put home seem long care term team death frail forth tries issues around honest values decline dancing product support disabled multiply creating old services different discussion
01:13:00
aspect private production fragmentation overwhelmingly life care many array plans stand manage system public either service payment require distinct becoming requiring different resources
01:13:30
care long term medical services lot put cost year olds 10 much part money years seems lives 50 twice every whole spend system spends yet around endure support forward country designed fit continue developed medicalizing
01:14:00
65 right housing whether supporting yet plan care table terms frail every teach homes people school nursing elderly another patient helping medical frontier anything arbitrate absolutely population
01:14:30
things particular population perspective expectations seek long care term meet needs health report support patient deserve focusing actually medicaid services eligibles achieving advocates partnering
01:15:00
important attention pioneered additional coordination put pay home need area move care plan table issue homes people really health concept nursing hospice suggest housing pathways programs supported community committee
01:15:30
community discussion stakeholder individuals opportunities lot die sure real care among right level family people entire concept elevate support patient broadly raising dignity extended appreciate
01:16:00
cards questions blumenthal suggestion microphones dr ask bit try move next able flood folks lined green hoping issues little couple months toward program forebear actually integrate important
01:16:30
bottom inserted may based addresses reform questions saying cards apologies pursued medicarehsa stoop question market patients stack haven
01:17:00
policies commission answer awareness report importance market specifically lean embeded fed question toward proposing forces
01:17:30
high seeking positive rewarding performing less skin pure game care plans market health systems include approach coverage patients commission incentives comfortable introducing accountability
01:18:00
better shoppers medicare policies beneficiaries circumstances kinds briefly reward folks described essential terms penalizes frequently report plan
01:18:30
care system encourage designate performing high kind reap might lower thing costs agree agreed middle better health policy primary program sharing getting savings provider services obtained benefits medicare certainly
01:19:00
plan care talked concept participating bob based kinds plans value whole sector ground things health reward private working together benefits medicare employers particular individuals
01:19:30
patient management performance productively participating pro plan high kind based begin value thing people middle ground looked choose wanted concept brought disease example networks cheering friendly benefits medicare encourage advantage following
01:20:00
summarized consultant legislation massachusetts communications set high view point taken kinds great health policy report control quality targets support choices recently spending approach physician
01:20:30
spending targets actual different projections lot isn cons less seen pros kind flip talk tends given level saving verses growth health little hearing setting federal savings projected approaches
01:21:00
resources commission reasonable importantly particularly year best grow right needs multi thing devote system health amount focused spending figuring emphasis allocate certainty
01:21:30
system target resources emphasize effective hit put try idea else touch issue growth rather taking matter savings everyone spending emphasis patients involved questions
01:22:00
costs system administrative countries questioner six much times found second points public higher private tightly current outside lowered germany average medicare regulated
01:22:30
incentives significant significantly certification administrative sure forms start wants reach lower water costs sector things points public claims amount making comment private uniform suspect everyone question aligning barriers agreement processes
01:23:00
credential meaningful priorities synchronize organization may put high seem boat wing value small sector rowing private measure achieve created aligning emphasis measures everybody direction something physicians difference
01:23:30
needs credential performance satisfaction opportunities line kind plans third yield david sector health public higher process dealing quality quickly achieve stepping mentioned physicians
01:24:00
sector public private administrative infrastructure 10 icd put best fight trying another achieve improve actually emphasis together beginning incentives performance conversations strategically simplification
01:24:30
sure things impressive conversation effectiveness run off need easy side talk start wants tried great really couple sustain aligned everyone question employer achieving difficult efficiency
01:25:00
hoping private problem sector involved group together better difference things role former classic side done
01:25:30
costs billing information processing administrative act idea care payer reduce health mostly actual solved claims uniform records provider happened exchange encourage interface provision associated electronic management affordable
01:26:00
system enormous traditional talk prospective service reimbursement away retrospective processing move challenges achieved fee procedures advance happy claims
01:26:30
achieve goals process streamlining administrative cost plans every aspect health around amount respect quality working country bundling progress hospitals measuring positions objectives significant
01:27:00
hand thinking streamlines replacement infrastructure paid path care terms plans joint kinds global health bundle partial working patient breaking providers hospitals oncologist individual physicians initiatives
01:27:30
system developing prospective encouraging streamlines deal move rate away hope real hold gives great today eight piece market models moving process progress capitation
01:28:00
medicare direction standards commercial participated seen home boat sure state plans arena forth seeing within health making rowing already dealing medical similar providers
01:28:30
done statements discussion incentives realistically deal aarp group there board price great direct forces policy public around change aligning leapfrog something wondering intrigued institute directors
01:29:00
price completed institute incentives discussions tag web lot help idea role site tank cost view shift better higher trying quality sharing working medicine patients consumers
01:29:30
question board prices care address costs consumers true threshold health leap market every better let glad
01:30:00
leapfrog products threshold everything transparency run show sell long risk hire group issue price drive second system better quality started whether without decision combined
01:30:30
system measures lady put continue costs imperfect 20 80 difficult commit transparency harm excited better decision end hand
01:31:00
price agenda getting learn difference discretionary means something tend data difficult people cpr everything much
01:31:30
data prices reasons providers early many conflicted script competitive plans getting hold problems showing medicare karen post tend quick
01:32:00
matters california percentage individuals consolidated high cost plan ratio large market charge health higher versus private example northern hospital employer southern medicare payments shifting purchaser employers proportion
01:32:30
receding employers disclosure discussion consolidation 150 200 put cost mass terms maybe small wrote report public general matters whether attorney actually happened shifting pressure
01:33:00
track highest determined perspective compression may eds cost case side means susan sector prices private another quality happens charging measures shifting mentioned generally basically diagnoses happening something facilities government
01:33:30
real price culprits distortions market leads utilization answer among result signals lead distorted culprit discussion youth
01:34:00
address signals approach prices issue microcosm issues commission send right utilization markets may taking sources ability question throw market
01:34:30
small argue plants medicare customers relevant large add superior lower suggested result pricing economists shifting follow bargaining cost respect
01:35:00
large cost employers variability particularly ones karen group basis plans price shift small sector market prices markets charged specific medicare starting addressed individual
01:35:30
older health sicker younger coverage help hope care costs block market higher reason holder healthy baseline approach building purchase premiums purchased individual individuals
01:36:00
group medicare natural area government base large compression pulling contributions both small generally reform recurring medicaid individual desired seen pools factors
01:36:30
cost track market position facilities lead much side irina based highly occurs extent smaller private various cheaper shifting purchaser purchased community definitely consolidated specifically
01:37:00
generally dealing plan community health virtue ratcheted higher much hospitals saying significantly examples call large medicare 100 pricing occurring lower system
01:37:30
discussion outpatient particular individuals consolidating 30 40 tax cap cost lead used basis aware surtax system policy moving become systems cardiac shifting benefits community purchasers productive
01:38:00
cost shifting market payments around transparency comparatively least achieve things dependent useful information today consumers ratios individuals ability much higher track
01:38:30
bob occurs question model shifting always laughter cost deny economist things took line explain public realize sorry aside well known
01:39:00
cost large small employers specious administrative differs math argument self insurers 12 15 essentially services differences scale insured
01:39:30
cost shifting theories theory difference observation exist explain growth presumption gets arguments search underlying immutable debate frequently somehow points messed
01:40:00
costs barrett something cost else faster increased beyond resumption bear great presumptions shifting burden find somebody increase buy described pass handed
01:40:30
really focus underlying attention discussion ago cost need much years costs within issues reform health policy fairly opposed recently premiums community certainly
01:41:00
trillion exciting important particular effectively 10 idea hood next care alps point years alice thing spend really things health struck report amount stuart getting
01:41:30
important innovation commercial possibility significant 17 cost done best guys well talk since spend sector system growth talking meaning whether trillion something
01:42:00
productivity provide cms services getting providers actuary point inevitable professionals improve hood retiring whether easy question chief
01:42:30
improved digitize questioner cost report integrated systems manufacturing premise showed qualitatively comments panel services possible globalize value easy asked process
01:43:00
systems making shown productive specialist system every redundancy done form efficiently instead fill pfizer removing another line certainly 20 paper 10
01:43:30
great deal exciting discussion started conversation across important agency commercial actually meaningful job eyes
01:44:00
highest quality opportunity improve align meaningful cost productivity bought arena stepping plays role outcomes actually value reduction reward models
01:44:30
strategy incredibly explaining productive unfortunately job away guys needs guess every given great system health volume spades gotten aspects holistic increase intensity incentive different
01:45:00
system revenues second increased ok increasing couple productivity ask patient timer increase really rewarded people tying
01:45:30
certain practices integrated monopolistic consolidation big fail much role part care flip mode side thank brief favor state price robert around markets evolved everyone resulted providers mentioned increases
01:46:00
try federal huge legislative competition limit market cpr governments consolidation couple meeting foster involved figure players role physicians rather april
01:46:30
right care system organized antitrust demonstrate happen decades amount things appreciate create information around regulatory combination promote market systems alone
01:47:00
massachusetts starting government karen measurement systems performance enough kinds measurements factorial kind mentioned networks oversight allow
01:47:30
figure systems together remember performing high legislation offhand really antitrust sector important solution funded discourage chart better
01:48:00
policy things deficit ftc need forgotten along prioritize state bob discussion answer gave haveed matter getting add path great
01:48:30
general role level attorneys massachusetts job seen play kind state great thing copley martha federal looking playing attorney recently happening important leadership california competitive
01:49:00
different occurring physician practices situation 20 30 add done much kind extra needs really create policy nearly looked happens focused acquired thinking overhead problems variables community
01:49:30
extent potential joe world respective global discussion yes right performing barriers strategically system needs approach thinking payments risk depend
01:50:00
adjustment risk perfect mechanism technology joe laughter months 20 joab moment far briefing advanced ago question 18 years jobs
01:50:30
right conditions commercial incentives individuals 18 need sure risk flip side space stars terms arena months served serving quality perfect sickest extreme providers penalized mechanism adjustment population
01:51:00
technology population challenging significant relationship 100 sure risk duly kind table plans never level across serving working sharing patient strides eligible together providers adjustment
01:51:30
need kind relationship prospectively retrospectively sure game care table ahead david works rather system across trying numbers sharing intense services patients providers standpoint penalizing
01:52:00
question answer different thank questions coming evaluation fill disrespect pronged last minutes listen allotted ask two forms
01:52:30
jobs baker piece wrote compelling respect bad growth case raising costs kay industry point medicare reduced supports england health care journal
01:53:00
jobs growth management disease force redesigning moving significant support space need creating needs done necessary respect people healthcare care amount
01:53:30
community resisting developing traditional institutions fee etc done home paths needs point model people career surely extent nursing service whether hospital bringing
01:54:00
building explosion discussions construction constructions deal held need much paid care state kinds level thing really health future taking demands creates without reducing overhead possibly
01:54:30
hand physicians effectively opportunities administrators set etc care talk right costs stored system health talked change stuart develop working workers medical stewart hospital encourage variation directors
01:55:00
level levers align national important play versus space washington effectively far issues away dealing talked deal opposed state large
01:55:30
right private everybody system years efficiency care results five sustainable begun participating achieve every thinking force setting question wants sector guess
01:56:00
decisions important challenges nationally sustainability need best easy fork care part talk road point focus place series system health economic thinking terraces programs
01:56:30
trillion potential resources households priorities 75 10 job next grow care years frees lives spend sector create health growth picture pockets economic
01:57:00
health care sector jobs necessarily need much terms frees number growth beyond create better losing engage taking amount revenue slowing economy without pressure spending elsewhere employers potential employment tremendous innovation
01:57:30
public comment question roads endeavors pumped education safety david end resources support money private squeeze another sector almost
01:58:00
exhausted smidgen ok decisions poor might panelists issues discussion may much topic enlightening suppose least economic country politics return done lawyer
01:58:30
fund thank topic friends commonwealth providing next great occasion let shaping wonderful plethora hanging questions direction difficult month provided
01:59:00
national captioning satellite institute discussion 00 span 2013 corp join this watch panel cable rerun program morning captions tomorrow thanking terrific probably applause laughter performed copyright
02:00:30
immigration deprupe outlining 307 president comes discuss conference announcement ahead proposed expected hold senators proposal minutes news changes obama
02:01:00
week senate districts secretary nomination live john span bill spab meet house brief sandy state today 230 allow carrie debate members session funding you working provide victims eastern approve tomorrow home expected coverage hurricane
02:01:30
coverage consumer elizabeth formation protection 113 span next live mass week mals house scott brown woman early place faces quick comes warren bureau become senator defeated congress business advocate
02:02:00
kennedy others district needs represent robert represents senate flt massachusetts fourth weigh senator joseph grandson house align
02:02:30
antennas bringing influence advantage suffering much told house white waste serve short office crisis ashame little pulpit forces health public agenda nothing country obesity somebody
02:03:00
many women political interesting subsequently past books human trust dolly world cases wrote ladies beings window limited defined writers husband socially foremost ambition american
02:03:30
women little breathless adepartment politically yes woo mrs fast much pace hated dolly every loved savvy monroe enough tragic change minute warned madison looking without husband probably including ma statement absolutely contribute
02:04:00
power never cancer present wrote lot later decision ladies important fear decided part husband battle married stop much fight
02:04:30
possible flourish countless presidents transformed ack live kind many house white lives anies people result impact things around walking survive disease grounds
02:05:00
span president constantly television particularly 00 lid dis image radio lived lives women ladies people series before public season airing begins private teaming eastern pacific seasons reminded influence
02:05:30
conference discussion immigration unexpectedly environmental org port live week news last many talk tough cspan obama corral davepb policy change joined journal discuss climate morning president community washington
02:06:00
change climate president generations overwhelming may none fail deny fires avoid start issue raging future respond viewers knowing showing exactly failure science children judgment
02:06:30
must crippling technology transition sustainable seed lead long jobs path power energy resist storms climbs sources promise towards drought america nations powerful vitality industry maintain economic sometimes difficult
02:07:00
national preserve community cappedpeeks environmental god lot crop ways snow lend land folks issue water creed spent speesh change planet fathers forrest meaning climate command treasure surprise declired
02:07:30
lot got issue mention environmental tax gun huge much real hear chunk shout trail along people almost design issues policy change control correct climate campaign expected surprise community surprised definitely immigration
02:08:00
president campaign something although translated put show over wasn host care term last issue trail clear emerge pushed second really burner source advise making winning thought advisors
02:08:30
global poll warming stats opinion
02:09:00
policy actually voters translate rubber president difficult support translates guest whfment action majority meets road polls
02:09:30
congress host guest break action bill question speech climate likely unlikely might opportunities push actually since change making
02:10:00
president executive authority inaugural completely ring week that host since calls ahead senate issues failed return moving change taking action address discuss climate without flexing prospect comments congress received
02:10:30
keeps climate week problem host solution tax comments coming legislative lt carbon couple change tort last
02:11:00
carbon pollution main policy fundamental ra tax puts right house guest gases cause price green global market source change explain economy warming emitters ultimate economist proposals environment essentially
02:11:30
carbon price pollution innocently refineries pay low oil idea fund coal race emit fired fuels power races drive energy market fossil paying plants toward allowed started anything polluting polluters
02:12:00
controversial difference electricity fundamental politically idea area rail ways means price third drive energy really number sources economy raising gasoline difficult incredibly
02:12:30
fix small might smaller legislative fixes energy politically admired couple great efficiency bill theory host increasing buildings impossible guest issue pieces
02:13:00
tax potentially conversation overwhelming comprehensive twn hill musm focus raise might space small budget reform reason carbon button looked things revenue broader deficit context solution something interesting introducing
02:13:30
action executive president environmental administration frs got big put sort much roll week host term last guest least asset might likely speech pocket second actions movement starting statement protection regulations conversation
02:14:00
big coal pollution refineries environmental cut oil deal lead roll fired moves raise forms power energy likely impact plants prices carbon plantsd closure country require existing economic actually probably polluters polluting
02:14:30
air certified coalition inspectors democratic few gas test john host five yorg line armed calls clean george impact annual morning subject liesers georgia atlanta emission inspector
02:15:00
co cars stickers contacted calibration ms gas put air zero much tall times weighs testing jackson finding correct problem findings infrared machines
02:15:30
air try dispute machines atmosphere jackson oxygen got others saying ms repells change climb harmless realize ve contacted find wation heat
02:16:00
change brought climate scientistist specifically why sees tell gore fact talk major money exist guest issue talked trying reason address believe actually confront everybody president happening inspection
02:16:30
sees within problem scientific